title: Psychological evaluation and cope with trigeminal neuralgia and temporomandibular disorder.
abstract: OBJECTIVE
  To determine the psychological aspects of orofacial pain in trigeminal neuralgia (TN) and temporomandibular disorder (TMD), and associated factors of coping as limitations in daily activities and feelings about the treatment and about the pain.
  
  
  METHODS
  30 patients were evaluated (15 with TN and 15 with TMD) using a semi-directed interview and the Hospital Anxiety Depression (HAD) scale.
  
  
  RESULTS
  TN patients knew more about their diagnosis (p<0.001). Most of the patients with TN considered their disease severe (87%), in opposite to TMD (p=0.004); both groups had a high level of limitations in daily activities, and the most helpful factors to overcome pain were the proposed treatment followed by religiosity (p<0.04). Means of HAD scores were 10.9 for anxiety (moderate) and 11.67 for depression (mild), and were not statistically different between TMD and NT (p=0.20).
  
  
  CONCLUSIONS
  TN and TMD had similar scores of anxiety and depression, therefore patients consider TN more severe than TMD. Even with higher limitations, patients with TN cope better with their disease then patients with TMD.
authors.affiliation: Hospital das Clínicas, Medical School, University of São Paulo, São Paulo, SP, Brazil.
authors.forename: Adriana Ronchetti de
authors.initials: AR
authors.lastname: Castro
authors.forename: Silvia Regina Dowgan Tesseroli de
authors.initials: SR
authors.lastname: Siqueira
authors.forename: Dirce Maria Navas
authors.initials: DM
authors.lastname: Perissinotti
authors.forename: José Tadeu Tesseroli de
authors.initials: JT
authors.lastname: Siqueira
mesh_terms: D000328:Adult; D001007:Anxiety / Q000175:diagnosis / Q000523:psychology*; D003863:Depression / Q000175:diagnosis / Q000523:psychology*; D005157:Facial Pain / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D010147:Pain Measurement; D011788:Quality of Life; D018434:Sickness Impact Profile; D013705:Temporomandibular Joint Disorders / Q000150:complications / Q000523:psychology*; D014277:Trigeminal Neuralgia / Q000150:complications / Q000523:psychology*